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تعداد آیتم قابل مشاهده باقیمانده: 4

Classification and evaluation of hypertrophic scars and keloids

Classification and evaluation of hypertrophic scars and keloids
JSW Scar Scale (JSS) 2015 (classification and evaluation of keloids and hypertrophic scars)
Classification (for grading and selection of appropriate treatment methods) Evaluation (for judging treatment results and for following-up)
Risk factors
  1. Induration
  1. Race/ethnicity
 Black people 2 0 – None 1 – Weak 2 – Mild 3 – Strong
Non-Black and non-White people 1
  1. Elevation
White people 0 0 – None 1 – Weak 2 – Mild 3 – Strong
  1. Familial tendency
 Clearly exists 1
  1. Redness of scars
Not clearly 0 0 – None 1 – Weak 2 – Mild 3 – Strong
  1. Number
 Multiple 2
  1. Erythema around scars
Solitary 0 0 – None 1 – Weak 2 – Mild 3 – Strong
  1. Region
 Anterior chest, scapular-shoulder, suprapubic 2
  1. Spontaneous and pressing pain
Others 0 0 – None 1 – Weak 2 – Mild 3 – Strong
  1. Age at onset
 0 to 30 years old 2
  1. Itch
31 to 60 years old 1 0 – None 1 – Weak 2 – Mild 3 – Strong
60 years old and older 0 Total 0 to 18
  1. Causes
 Unknown or minute 3 Remarks
Specific wound type such as surgery 0
  • Weak – Symptoms exist in less than one-third of the area, or are intermittently
  • Strong – Symptoms exist in the entire region, or are continuous
  • Mild – Between weak and strong
Present symptoms
  1. Size (cm2)
 Over 20 cm2 1
Under 20 cm2 0
  1. Vertical growth (elevation)
 Clearly exists 2
Not clearly 0
  1. Horizontal growth
 Clearly exists 3
Not clearly 0
  1. Shape
 Characteristic shape 3
Others 0
  1. Erythema around scars
 Clearly present 2
Not present 0
  1. Subjective symptoms
 Always exist 2
Intermittent 1
None 0
Total 0 to 25
Remarks
  • 0 to 5
    • Character like matured scars (intractability – low risk)
  • 6 to 15
    • Character like hypertrophic scars (intractability – middle risk)
  • 16 to 25
    • Character like keloids (intractability – high risk)
JSW: Japan Scar Workshop.
Adapted from: Ogawa R, Akita S, Akaishi S, et al. Diagnosis and treatment of keloids and hypertrophic scars-Japan Scar Workshop consensus document 2018. Burns Trauma 2019; 7:39. Copyright © 2019 The Authors. https://academic.oup.com/burnstrauma/article/doi/10.1186/s41038-019-0175-y/5698596 (Accessed on April 29, 2022). Adapted under the terms of the Creative Commons Attribution License 4.0.
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